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Updated: Jul 29, 2025

Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Physician compliance with multidisciplinary tumor board recommendations for managing gynecological cancers
Clara Naessens1, Jerome Laloze2, Sophie Leobon3
1Radiation Therapy Department, Limoges University Hospital, Limoges, 87000, France.
Abstract:
Aims: Evaluation of compliance with gynecological multidisciplinary tumor board (MTB) recommendations and its impact. Patients & methods: All patient records discussed in our MTB from 2018 to 2020 were analyzed. Results: We analyzed 437 MTB recommendations concerning 166 patients. Each patient was discussed an average of 2.6 (1.0-4.2) times. Of the 789 decisions, the decision was not followed 102 times (12.9%), corresponding to 85 MTB meetings (19.5%). Of these, 72 recommendations concerned therapeutic changes (70.5%), and 30 concerned non-therapeutic changes (29.5%). Of these 85 MTB decisions, 60 (71%) led to a new MTB submission. Noncompliance with MTB decisions decreased the overall survival (46 vs 138 months; p = 0.003). Conclusion: Improving compliance with MTB decisions is crucial to enhance patient outcomes.
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